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2000-439 TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 7614256 CERTIFICATE OF OCCUPANCY Permit Number. 2000439 Date Issued. Tuesday, October 10, 2000 This is to certify that work requested to be done as shown by Permit Number 2000439 has been completed. } Tax Map Number: 523400-074-000-0002-085-000-0000 Location; 63 SARA4EN Dr Owner: GUIDO PASSARELLI This structure may be occupied as a: Single Family Dwelling By Order of Town Board TOWN OF QUEENSBURY Director of Building & Code Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury, NY 12804 q 5 . � U County of Warren (518) 761-8256 i = _ Building Permit No. Permission is hereby grafted to ► ' 1 � t }} �-1 [' CJ �,� _ C3tivner of property located at Jy in the Town of Qneensbury, to construct or place a - - . _. ._ - at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the NYS 'Uniform Building Codes and the Queensbury Zoning Ordmance, OTY '�'�►., ' I _ C for or lBuil is Nast kff Col or or .Bujldcr�s Address- Electrical Inspection Agency_ Type of Construction: se: $ \ PERMIT FEE PAID — TIIIS PERMIT EXPIRES ' ' ' 1 bb (If a longer period is required, an application for an extension must be trade to the Code Enforcement Officer of the Town of Queensbury before the expiration date.) Bated at the Tomm of Queensbury this Day ofs nC SIGNED BY ""PIK for the Tovm of Queensbury Code Enforcement Officer Building Permit Application Town Of Queensbury - Detx. Of CarrrIMmily Develo ne,er, 742 Defy Road. Qstrcr&rbirry, IVY 12804 1761-52561 1� 1► �E.tJ.i BUILDING dc . CODE ENrORCEMENT Requirements prior to issuance _ rApormit must be obtained before of this permit: PERMIT rILC NO. nin,� construction. No inspections CID be made until applicant has received O Zwning Board Actlorr PEltM1T rL�(*A1DI.II) DUILDINO PERMrr. All Arco / Uso V cants' spaces on this application RECRL•'ATIP&L FJCE J MUST be completed attd•the signature Q Planning Board Acdon REVICWE&D BY.P of the applicant- must appear on the SPR 1 Subdivision / Other lication form, rack yw prrirrfii+g Iras arcYnr Recreation Fee Payment Applicant: T C .11 �^ Kl��^��_ [mil`` Owner: �' C Address: } � �1'a ,._ �� Address* 11111onc {,E ( �L�_1 $�1 _ ���" I311pt1C: # Property Location : Subdivision Name, i AX Map Nunibe r section 13lock I nt NATURE OF FROPOSEI? WORKr ESTIMATED MARKET VA U OF E _ New Building : CONSTRUCTION : $ � � 'TIL o© residence / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building - residence / commercial _ Single Family Dwelling Residence / Commercial Two Family Dr�;g �' ccam�•. no change to exter±or size lamilylnbr�e ].� i:i c� Office Other work ( describe below ) Mercantile JUN 21 2000 Manufactury' g Other + `-. 4 . . .. �i: }' - 'I i 6JRy "vl�j lte ii Oi `: rS GROSS AREA OF PROPOSED STRUCTURE : lst Floor . . . . . , . gq , ft . If ADDITION , what: will use 2nd .Floor . . . . . . . , may ' sq . ft . of Hero addition be ? ; Other Floors ( not unfinished cellar or basementl ACCESSORY BUILDINGS . ��` - Detached Garage l , 2 car TOTAL FLOOR AREAS 3,+�f SQ . I T � �_ Attached Garage. 1 Private Storage Builda ng 5I2E OF NEW STRUCTURE : Commercial Storage Building 4 D FEET X 52 FEET Other Foundation Type : ' will any second- hand or }ingraded Number of Stories : �. lumber be used ? If so , for what ? ( habitable space only ) 'tAo Height ( grade to ridge ) : feet TYPE OF HEATING SYSTEM : Number of fireplaces and/or w�oocstove ( circle • all which a plies ) to be installed : t Electric / Oil / as / Wood Forced Hot: Air / Baseboard / Other Person responsible for supervision of work as regards to building codes i s : ��1, It1�5�t t�cz �e. 42+fi�t �..ra ►u�z ._.___...,_._ Na " e O A dre s Phone l ` Builder : Plumber : , p _ Masons 1 p Electricians DECL4P,A7TOPk Please sign belmv afle' you have carefully read the staterrre4rd. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining; to the proposed work shall be complied with, whether specified or noted , and that such work is authorized by the owner. Further, it is understood tlhrtt I/wc Shall submit prior to a Certirtcatc of Occupancy`or Certificate of Compliance being issued , an AS BLlET..T PLOT PLAN by a licensed surveyor; wn to sea , sl in tual location of project on premises , Signature: (owner, owner's agent, architect, contractor) Application for Permit — Septic Disposal System 1lbiwj v,f Qiivvrt.ylrttr y 742 Bay floral Quc errrhrrry. Nl 124,104 (S 1 n) 76 l -r%1->5 i I . OWNER INFORMATION : .. orrice use Location of installation ; Ca S A3?L File Permit M Tax Map No, f / � }t 1 Fee Paid Owner's Name. TlAs. Address; t c� 2. INSTALLER' S NAME : 'lar, `( PHONE N O . Cv2 - 3 . RESIDENCE INFORMATION: (circleyear of dwelling, indicate 4 bedroom(y) and multiply U of bedrooms with applicable gallons per bedroom to equal lotol dai{u,llviv} Year of House: N . of Bedrooms x Qonipwtatiort Total Daily Flow 1980 or older x 150 gal/bdrm = 1980 — 1991 x 130 galfbdrm = _ 1991 — present 's x 1 10 gal/bdrm = G y Garbage Grinder Installed yes . ! no Spa or Whirlpool Installed yes f no -ki 4 , PARCEL INFORMATION : (circle applicable information & indicate inoasurentents) T9 o tra.pkiv Sail aturo round Water Bodrock or hi vie rs ivl �terial Doinesbc Water Stipp 1'Jcrl scurcf at avhal defrlla at what dcepllr nrtrrticifral Rolling loam _�feel ls:et f--~ S'tc vlr ,slol�c Clay i,J'tvell; wooer .slopply .—.•._fU slope ather �r'C111r C�f7Y .5'eptic-s,}+s!'4'A7! dcyrtla.' absorption ather Percolation Test: rlO he crrrrrltleled by archiirct) __. . Role: mintilu Pole ilwh 5 . PROPOSED SYSTEM : For New Construction: All individtial sewage disposal systettts must be designed by a licensed professional crtginccr or archiiect (unless installed in ;a Planning Board approved subdivisioai). Add 250 gallons to tltc sire ofthe septic lank and leach ficld for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: Z6.,., 0 gallon ('inin, size 1, 000 gaf.) Tile FieId ; each irench - h� � J1. Total System Length. ( 6P 'A Seepage Pit(s) : member of size oj'r.ach: fi, by P. Size of Stotzc to be used : It — __ / cicipth or ihickncfs Bed System Size; y� x Ai tern ative System : ` 1-'. ._.__��._____. _.. lengill crrrcl/or size fi , HOLDING TANK SYSTEM : (if required) Number of tanks: N • I Size of each : gallons I TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Towir approved electrical inspection agency. T SIGNATURE & INFOR.MATION FOR RESPONSIBLE PERSON (please read) For your protection, please note tltat pursuant to Section 136-29 of the Code of the Towti of Queensbury, any permit or approval granted which is based upon or is granted iEi reliance upon any material misrepresentation or failure to make a material Fact or circunistance known by or oil behalf of art applicant, shall be void . I have read the regulations with respect to this application and agree to abide by these and all req�ui,reillents of the Town of Queensbury Sanitary Sewage Disposal Ordinance. 40//2- CS d ible Signature of respons person Date [! y ` " 31'l` 1t :1 F-111:3F •ti {�ltii'[' TOW11 (if ( )ll['L'I1'ti li ell S , ]-t22 '"N �ZU:i L�, iti'L fjtil]ti I'1 , ti } Application for Fuel Burning Appliances & +Chimneys applicable to solid fuel & vented gas appliances Date Sr () Q y .rc -mil +ICJ Tt _.��..--- -----° -' r �n Writ No . .4'oplicaricrrr is hercrht' meld tr) the 131rildirra (j_ Codt'.ti !?l;fir r^ frll 111c' r:ssrrcrrrcc t j cr llreilrlirr rrrlrl L;:s'[^ Perftli! /3ur'srrurft to Me New Ye,wk S7we Fire Preji enti.rn .rnrf 13tri,J[lirr.5r (.'rrrlc . 711e rtlrrrfi[ arrt r r r ll'fla r {green !er cunrl)Tv ii ith all elpldicable lrrstcs, rlr'clirrarrrc'e.s, rks rtlrrtirrrr.s, [rrrr7 rrll c'urrrlit(orrs' tlrrre [rrc lrtrrf ref. i !hose^ f-egrrirerrl ell ls erwtl also sapill r11/oIr all iflsjt ceolw rcr C-P)I I ev rc?mi-3e I lscrr,furrfl r crlrrircri irr.sfrccviCrrtt-. ' ' NOTE to applicaltt Rough - in and final Its cct , ions are regL> ircd . Applicant Information Fuel But- ninon Appliance Intbi-ti:tation _ ( �: if-cle appropriate SL'ol'ds) .. .d_'.^-7 C..L.� 3 St{)� �:' Wooe Coal Pellet }C15 *� Fireplace insert Address: 1f , � L 1�. '51\) k ; A �,�r� NE Fireplrice. factarv-built : �1 00el fireplace. masonrv: ivoorr gaS I' Urnacc: oc Doti ci oil Phone : - 14'3l1 c'�xT - 1, If roll -lnasonary applicance, please provide Owner: -:.iA �,c — Man ti fact tirer Name. Address: -Model Nttn-fiber. E ChiMiley InCorn7ation f 13hoIle' - i ire lc appropriate �'ti Ords) Nlasonry Mork r ick stone I Flue the ee size: iTrclles j Exact Address : W `— ofconstr-trctiort or irtstnitrtrion Factory-Built } i L45-'v 47;? ManufhctttreI' name,- j '�Ioclel NU1i I)CV: j A`oteu' C Listed By'. Nurnbcr: CJ1JsfT'LrG'Li011 /� �tl5frtllatiott JJIIrSf , con orm to ,'Vys Fire PT"el�erltioll & Buildi;Ig Indicate ( circle:) c1limncy material : Code. Considt available Toiv?t of Qrreenshtrr.A: Htlr7{lPrrlS T'eg[rr'rlin 1-erTtuh-ed inspections. Double wafl 7"r-iple sL•Cr(1 / /rr.stelrrf[rrl / L7irLrct 5 [�lrtirt�; I _ C'!t(rlrr7 e'i• !_irrL - k �3 vx=r^rx vjrQu40.� � s x-y, 2V+�srrr Yro.r-.ice ' € I :Sasso/ Code f ti ["OHec tc'r( rrrlrlr c'.s V. t 12.1 3339 f 19t1I Public Saferl- LL- — f ?33 365-5 (?30) AfiiI(-j Srrle xis.�ri.r�uKr .- /Yl W♦r. UC� O•t- ` ^L..7m�u rn�Y•�,_ While (Applicant-) Cir..n ( Fire Marshal ) Yellow 113411,1,. Dopt, > Pink C3oklenrod (C'aslliei''s t7cl,I, ) 1 FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED )0 NAME ' .s LOCATION e2 �- '— I '� ERMIT #c�, SCHEDULE INSPECTION ON �C_. + .._... A M v APPROVED NIA YES NO ITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE. ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: _ CLEARANCE TO SPRIN ERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE C IMNEY DOD STOVE FIREPLACE (�I MASONRY FACTORY BLT. ❑ UGH-IN FINAL REMARKS. © OK TO THIS DATE INSMP,pm INSPECTOR RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 .Date in Building & Cbde Enforcemenfi spa tion request received: C.) CE7 . �-C1 Dept. of Community Development Arxiye t 'Town of Queensbury arnfpnx Dcpxrt� 742 Bay Road Inspector's Initials Queensbury, New York 12 M NAME A PERwr # I.C7CA 10 TYPE of ST12tFC TT.IltE N/A YE No COMMENTS Chimney Height,'13" Vent/Direct Vent Location W) Fresh Air Intake r ` T Plumb Vent through roof / Roof Complete Exterior Finish Complete fntsrior/Extertor Railings 30" to 36" Exterior HandmilsF, balconies, landing 18 in. or more Interior Handrails stairs both sides 3 or more risers Grade 2% away from foundation g,. cle ranw to sill plate Gas Valve shut-off exposed/rcgulator 18" above grade Gas Furnace shut-off within 30 feet or within lire of site Oil Furnace shut-off at entrance to furnace area FurnitocMert Water Heater- opera Relief Valves) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 fL 4 in. Handrail exterior stairs both sides more than 3 risers. Interior privacy/trim/doors/muin entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails gees „sting 18 in_ or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fares v Plumbing fixtures Foundation insulation 4 3/4 hour fire door/dour closer Garage fireproofing_____ Garage penetrations sealed Furnace in separate morn pr tecsted (in garage) Light ventilation per r Safety glazing 18" s #lour Final Electrical Site Plan/Variance a' Final Survey Plot P an As Built Septic System layout required — Okay to issue C/C (Certif of Compliance) — — Okay to issue temp. C/O (Cenif of ul+ar►cY)_ Okay to issue permanent C/O (Certif. of occupancy) — THE NEW YORK BOARD OF FIRE UNDERWRITERS PAt;E , 789 BUREAU OF ELECTRICITY 40 FULTON STREET, 146ALXOJRK, NY 10038 Xwe 0('11l'iJF3ER lti , 2000 Application o. on ,tlo„ THIS CERTIFIES THAT P''lL [.L.`f' N ;?,0041 - 4 _ 9 only the electrical equipment as described below and introduced by t on the above application number is in the premises of J-4-61 N1:C+C!HAE'I, i (iFt[' Aw �1 SA RA JF`�,CY�.t foil . i7�{hy1'�N:iHLwy I NY in the following Location; X Basement KI_I 1st Pl. yLiJ 2nd Pl. ?;pi{ OI'i` l Section Block L.otyI ' was examined on [ Y('.'!'(1rSN',k 17t7 . IJ{Ys i and found to be in compliance with the National Electrical Code. , FIXTURE IIIECfACLES SWITCHES FIIfTURES RANGE$ COOKING DECKS GIVENS DISN WASHERS EXHAUST FANS bLITLETS FuPOefisca T OTHER "T. K.W. AMT. K.W. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS IWSCIAL RECTT.I TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMER$ STEMS AMf. K.W. OIL N.P. CAf N.P. AMT. NO. A. W_ G. AMf. AMP, AMF. AMPS. TRANS. AMf. X.P. Hb, bF FEET AMT- WATTS r E' I I I I I A SERVICE DISCONNECT No. of S E R V I C E METER NO. OF CC CONO. A. w. G. A. W. G. A W. G. AMT, AMP. TYPE EQUIP. 1 i 2W 1 e SW S / 3W 3 • AW PER • OF CC. CON.. NO. OF NI-LEG OF XI-LEG. NO. OF NEUMALS OP MUM" 1. 2110 t1$ 1 [ 4/13 OTHER APPARATUS: TMLIEPHf?NN> i--6 1 Ok9`1' l...L C3 H E 1 Cr . P C ' 1 : -4 SMOKE DEi'1'E�C'"L'CJi� : f3 �rC)FCF€�I1�fe ir;l.E�c'�t3rll+;t � t�;[,raP[' . W.L I �} 11jAl 1 19{:I?l1� I'l2Clld GENERAL MANAGER S(" ). N' ,WI CAW? NV , per ! 33 This cortiecote must not be offered In any manner, return to the office of the Board It Incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE 'MUST NOT BE ALTERED IN ANY MANNER- TOWN OF QUnENSBURy BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEMN§gUH.y my 12004 (518) 761-8256 ARRIVE % -- - - - DEPART : _ INSP : jP'I,MAL INSPECTION REPDRT -- RESIDENTXAZ DATE INSPECTION REQUMST R,rE+CEIVED : NAME i LOCATION _` DATE YERMIm � TYPE OF STRUCTURE FOOTINGS FOUNDATION SACKFILL F' ROUGH PLUMBING SEPTIC INSULATIO ELECTRICAL WOODSTOV N fNG FINAL E OR VlRRP CB Y NO -"HTM_NEY ISE G1[f.'/9 v HIP. yr2rqT 1 � LU $ NG VEN - 1 DDEQK/PORCH/STIS,PS/R'AIL..,. BELIEF VALVES .. Eu Q' E p TIN .11=9.IOR TRIM/vixTvnry ,POOR !' EIN IS i lrboQf I { _ BATH/RI'I`CFiWN WAmTG 3 OTHER FLOORS 'SwgEp,ABL , jI OTHER FLOORS CARPETRn I STAIR CLEARANCE I IN S ORV -2pTEQjogS FOUNDATION INSULATIM -GARAGE FIRE PROOFING FINAL ELECTRICAL ' .XXE P&M/VI�RIANCE REO A SU VEY P OT LAN { K TO ISSUE C/O O 1 i i MAP REFERENCE: MAP OF A MODIFICATION TO AN APPROVED SUBDIVISION KNOWN AS LEHLAND ESTATES —PHASE III DATED: JANUARY 25, 2000 REVISED: FEBRUARY 15, 2000 BY: VAN DUSEN & STEVES I ANT) SURVFY0RS_ I I C. � an. D Steves Land Surveyors, LLC 169 Haviland Road Queensbury, New York 12801 [518) 792-8474 New York TAc. No. 50135 boo W_'� 'UM AUTHORIZED ALTERATION OR ADDITION TO A SURVEY IMP BEANO A UCENSED LAW SURVEYORS SEAL 13 A "CLAIM OF SECTION 7103. SUB-DIMfiON ]. OF 7NE NEW YORK STATE EDUCATION LAMP 'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED MAIN AN ORIGINAL OF 7HE LAND SURVEYORS SEAL SHALL BE CONSIDERED 70 BE VALID TINE CONES.' LERTFICATIONs INDICATED WEON SM" THAT THIS SURVEY WAS PREPARED N ACCORDANCE MATH TINE E MNO OODE OF PRACTCE FOR LAND SURVEYORS ADOPTED BY THE NEW YORE STATE ASSOMATON OF PROFESSIONAL LAND SURVEYORS. SAID CERTWE AMONS SHALL RUN ONLY TO THE PERSON FOR MHIOM THE SURVEY IS PREPARED. AND ON HIS BENALF TO 1HE TIT.E COMPANY. OCVERWDNTAL AWNCY AND LENDING IN"TUIDON LISTED HEREON. AND TO THE A=M1= OF THE UMING NSTTUTON.' We N04'49'50"E 200.74' 85 23,600 sq ft 0.54 acres A9 �a9� 010 Map of a Survey made for 4 W Z O N tr ', Q W J U O Z a ;��qF NEW y • RICK A. & DAWN M. HAYES Town of Queensbury, Warren County, New York 19 PHASE 1 __4_�_NO CLEAR ZONE____ NO. I DATE I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: Rick A. & Dawn M. Hayes M & T Mortgage Corporation. its successors and/or assigns Chicago Title Insurance Company CERTIFIED BY: MATTHEW C. STEVES, LLS NYS 50135 DATED: August 30, 2000 DESCRIPTION Scale 1"=30' i�� SHEffP 1 OF 1 HAYES DWG. NO. 89423-85 3o c vRR, EVsI! CTION REPORT ( 518 ) 761 -8256 Town of Queensberry Dept of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road ,/ Queensbury, NY 12844 Arrive ani/pm Depart ` Inspector's Initials NAME: in t apelS G rzc,r a rC�:O PERMIT # 9 LOCATION: +(e 3 C.:iaAt:_ e'el DATE TYPE OF STRUCTURE: RECHECK N/A YES NO COMNIENTS FootingsfPiers —� I Monolithic Pour Form Reinforcement in Place The contractor is respo le for providing protection fro freezing for 48 hours following placement of the concrete, Materials for this purpose site Foundation/Wallpour Reinforeemenit in Place FoundatioEunpproofi Baciciill lPlumbing Plumbing Vent/Vents xn Ia RrnTh Plunibi Heating Rough-In 4lnsulation Foundation Walls Interior Foundation Walls Exterior Floors R- — — Walls R- Cealing R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frami Jack Studs/Headers Bracing/Bridging, Joist Hangers lack Post&%lain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSPRCTION REPORT ( 518 ) 761 - 8256 .� �. .. Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 ArrivOC>7 Departt� spector's Init NAME: Mvr PERMIT LADCATICIN; Ir DATE TYPE OF STRU �. RECHECK 3 I IA N Es NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for ' priding protection from freezing for 48 hours following the placement of the concrete, Materials for this purpose.: on site \ FoundationlWallpour, Reinforcement in Place FoundanonlDampproo Backfill .Approval Plumbing Under Slate Plumbing Vent/Vents in Place vA Libe;ugh P'lnmbin Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walis R- Ceiling R- Duct work or piping in Pro unheated spaces R- ent, Attic Vent�Fi1mi g Jack Studs/Fleadets Bracing/Bridginix Joist Hangers lack Posts/Main Beam \,*rInfiltration Barrier Fire Separation 1, 27 3, hour Penetration Sealed Fire all 2, 3, 4 hour �� ( 518 ) 761 -8256 Town of Queeusbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road ��L1n� Queensbury, NY 12804 ArriveL`�_ am/2'm-D Depart ln'WIWtor's Initials NAME: 0 PERIVW17 # LOCATION: s^. j P4 �i DATE TYPE OF STRUC 17URE; RECHECK �. N/A YES NO CONV6ffiNTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement { of the concrete, , Materials for this purpose on site Foundmion/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Linder Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-hn Insulation Foundation Walls interior R Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing lack Studs/Headers Bracing/Bridging joist Hangers Jack Posts/Main Beam Air infiltration Barrier ire Separation 1, 2, 3, hour netratian Sealed y Ft= Wall 2, 3, 4 hour irestoppin ----y TOWN OF gBEENSBURY % +1 BUILCIINS & COY Road EMENT � Queensbury NY 12804 (519) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Loc a Date - ermi t # J SOIL TYPE: San - Loam-Clay_ Results a rcolati Test- ( if appl ' cable ) Rate note/ Inch____ TYPE OF YSTEM: ABSORPTI FIELD : Total Len t Length o each trench * Depth of trenches � � ,� � � �-- Size of tone _�1_*�'—� �- — �---� SEEAA6E TS : N urnb a r-w Size - ft . x Stone zE ype PIPING: �sa2 Bldg . to Ta k w Tank to Dis Box n Dist . Box to Field/Pit Yes o rty a Tr Openings Seal d? LOCATI01(/SEPA TIONS : t 2:�` feet Foundation to ank tion feet Foundation to sow et Separation of P is Yes No Conforms as per lot Pl a LOCATION OF SYS M ON PR PE { circl a Sid - Right Side Front Middle Front - Middle ar Cf1W"TS: _ SYSTE]i USE APPROVED : YES ND Arrived : Departed: Building Inspector A MAR PO .. ........... . ................. fu He- ................ .. ................ w Ag cl) WG-Tqr�a I 5 � �po Ch OOOZ T 2; Nnr rl Ib CC) 774M NO CLEAR ZONE S8 EW E GENERAL INSPECTION REPORT Gip' I ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road pp } Queenshury, NY 12804 Arrive am/pm Depart ! amlom Inspector's Initials NAME: \` PERMIT 4 LOCATION: co TE TYPE OF STRUCTURE- :S> RECHECK -7'NIA YES NCl � CC7MMENTS Fovtings,tPiers _.r l Monolithic Pour Form Rei.nformmem in Place dL The contractor is respousibfe F providing protecxtion from ng for 48 hours following the pl ant of the concrete. materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foun on/ilarctpproofin 11 Approval Plumbing Under Slab k Plumbing Ventf Vents in Plaoo Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R.- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Fratnin Jack Studsllieaders BracingBri Joist I-Iangers lack Posts,/Slain Beam Air Infiltration Barrier Fire Separation 1, 22 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL IN,SPE+CTI N7 REPORT � 0A) ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement " 742 Bay road j Queensbury, 14Y 12804 Arrive am/pm Depart/ 1 c Inspector's Initials NAME: ,, , LOCATIOW Si DATE ..2.G'�'�1 TYPE OF STRUC r[Jl RECHECK N/A YES CONUVENTS .' F UngS/Piers iiolithic Foul` Form Reinforcement in Place f' The contractor is responsible providing protection from freezih� for 48 hours following the placemegt of the concrete- k. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place f Foundation/Dampprool'in Backfill ApprovalTz Plumbing Under Slab Numbing VentfVents in Place Rough Plumbin Heating Rough-in AL Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- - Walls Ceiling Duct work or piping ` unheated spaces R- Proper Vent, Attic V t Framin Jack Studs/Headers BracingMridgmst joist Hangers jack Posts/Main. Beam Air Infiltration 'Harrier Fire Separation I, 21 3, hour Penetration Seated _ Fire Wall 2, 37 4 hour Firestoppi ---------------------------------- SARAH JEN DRIN _--_--------------------- ------ - - 48* 07' r-� yf f! r r PORCH O r� ---------.... ... y, a .... ....... PCo CID to cw" co � M V 77 *58' S84'44'1 Cr"E NO CLEAR ZONE I I I I =0 .. ...... .... . ...... vw" 1pmg V~ Re AAA .... ................ ...... ....... . ...... ....... ......... PW IOWA CDP 7K 40k I p tq I �4 car OOOZ T 9 Nnr CD �O. ! NO CLEAR ZONES84* E